MEDICARE: LAURA M. ARTILES, PH.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	PY0005426	FL

General Provider Information

NPI Number	:	1740604024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURA M. ARTILES, PH.D., P.A.

Provider Business Mailing Address
First Line	:	7100 SW 99TH AVE STE 203
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4668
Country	:	US
Telephone Number	:	305-270-3737
Fax Number	:	305-270-3736

Provider Business Practice Location Address
First Line	:	7100 SW 99TH AVE
Second Line	:	SUITE # 203
City	:	MIAMI
State	:	FL
Zip	:	33173-4667
Country	:	US
Telephone Number	:	305-270-3737
Fax Number	:	305-270-3736

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. LAURA MARGARITA ARTILES
Credential	:	PH.D.
Telephone Number	:	305-270-3737

Provider Enumeration Date	:	02/07/2014
Last Update Date	:	02/07/2014

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